RF vs Laser Vaginal Rejuvenation Treatment Modality?

We're getting a growing number of inquiries about vaginal rejuvenation and we're looking to try and settle on a system. I've heard that the efficacy is similar between modalities but I'd like to get some input by users of either system type, and their thoughts on the actual treatment as well. It seems that these systems haven't hit the second hand market yet so we'll probably be buying new: MonaLisa Touch, FemiLift, Intimalase and ThermiVa?

You have to take into account that "vaginal rejuvenation" is a just a marketing term and that the 'effect' can be achieved in a variety of ways depending on the issue. There's a lot of VR treatments that are really for SUI.

Here is a case against RF and for fractional from an Alma Femi Lift user.

"...Fractional laser resurfacing works and the radio frequency based devices do not work. ThermiVA is a radio frequency based device that works through direct bulk heating. ThermiVa has been supported by claims that it increases lubrication and improves vaginal function.

ThermiVa is not FDA approved for intra-vaginal use, and that these claims are not supported by any valid, peer reviewed studies that I can find, it is unlikely that ThermiVa will help with any vaginal issues in a lasting way.. This technology is not able to raise tissue temperatures sufficiently to promote new collagen growth (Neocollagenesis), which is necessary for any lasting results. It has been shown that Neocollagenesis occurs ONLY when the tissues are heated to 60-70C. ThermiVa absolutely does not heat tissues to 60-70C, but only achieves perhaps 45-55 degrees Celsius. By heating the vaginal lining tissues, ThermiVa causes swelling, or edema. There is no scientific basis that supports the notion of ThermiVa producing long lasting results. Furthermore, as we all learned in 2nd year medical school pathology class, chronic inflammation and edema leads to FIBROSIS (a pathologic process). Fibrosis is a disorderly process of SCAR FORMATION, as opposed to the functionally regenerative process of Neocollagenesis..."

I'm not a big fan of the in-out RF treatments. It can be an awkward treatment and we've had some number of patients who have declined. We've learned that the consult and expectations are key. Don't just spring it on them.